Active NPIIndividual providerSole proprietor

Rodney L Immerman, OD

Optometrist in Quincy, Massachusetts

NPI Number1528055068
Practice location
1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979
Fax
617-698-5123
Last updated
April 28, 2017

Rodney L. Immerman is an Optometrist based in Quincy, MA. Rodney L. Immerman practices in Quincy, MA and has the professional credentials of OD. The NPI Number for Rodney L. Immerman is 1528055068 and holds a License No. 3103 (MA). The current practice location address for Rodney L. Immerman is 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979 and can be reached out via phone at 617-698-6700 and via fax at 617-698-5123.

Provider Profile Details

NPI Number
1528055068
Provider Name
Rodney L. Immerman
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979
Phone Number
617-698-6700
Fax Number
617-698-5123
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2005
Last Update Date
April 28, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0979
City
Quincy
Zip
02169-0979
Phone Number
617-698-6700
Fax Number
617-698-5123
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
13 Fort St
Fairhaven, MA 02719-2757
City
Fairhaven
State
MA
Zip
02719-2757
Phone Number
617-698-6700

License Information

License Number
3103
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rodney L Immerman, OD?

The NPI number of Rodney L Immerman, OD is 1528055068. It was assigned on September 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Rodney L Immerman, OD?

Rodney L Immerman, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3103.

Where does Rodney L Immerman, OD practice?

The practice location is 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979. The office can be reached at 617-698-6700 (phone) or 617-698-5123 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528055068 directly on the NPPES registry website.

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